When To Use CPAP in EMS? | CPAP for EMTs and Paramedics

[@TheParamedicCoach]

Watch this video if you are preparing or in EMT School, AEMT School, or Paramedic School. Utilizing CPAP is a skill you will use often so watch this entire video to get all of my CPAP tips for EMS students and EMS providers. www.prepareforems.com

[@zachscott6874]

What would you suggest for a patient who needs cpap from chf exacerbation and they are hypotensive? Or they become hypotensive? from an ILS stand point? Probly can’t give nitro Can’t give a bolus to bring up the pressure due to fluid overload. Intercept for a pressor drip? I know classically chf will present with hypertension but is it possible they can be hypotensive as well?

[@infernotrox1884]

A really good Device to use for CPAP indications is literally CPAP = COPD, Pulmonary Edema (CHF), Asthma, and Pneumonia. I thought this might be a good way to remember the indications

[@unfazedgio]

Great way to remember I appreciate this so much 👏🏽

[@downtoearth8661]

On point

[@Jesusperez-kq1ql]

GOAT!

[@amandahaueisen5127]

This is awesome! Thank you!

[@merica9187]

Awesome tip, thanks.

[@grannymac3929]

My 20th recertification. I really enjoy watching smart, young medics sharing knowledge. Great job!

[@felipeescamilla5060]

I love how you break things down with examples. Thank you and please keep on making more.

[@TheParamedicCoach]

Thanks for the kind words here! Keep watching and learning!

[@stepred]

He's a real teacher

[@TheParamedicCoach]

Thanks for the kind words here!

[@christineblack9486]

Finally, an awesome explanation for the difference between CPAP & BiPAP! Great video, thank you!

[@TheParamedicCoach]

Glad it was helpful!

[@ghostofsparta196]

I’m working in EMS an EMT- B, and these videos help me review and stay knowledgeable in the field. Thanks for these videos! 🎉

[@kevinwise1997]

They way our EMT instructor told us, respiratory distress, you can use just about anything. Respiratory failure: GRAB THE BVM!

[@music4thedeaf]

Yes but no

[@carlymilne7263]

Here in Ontario we do not utilize CPAP for an asthma exacerbation, to my understanding it is contraindicated as long term it could increase the inflammation in the lungs as caused by asthma. First line of treatment is salbutamol, EPI (if apneic) and assisted PPV. I can understand the role of CPAP in the field for this condition as a temporary quick-fix until they can be treated with BiPAP in the hospital.

[@superdookie99]

Excellent explanation and thank you for the informative material! I understand CPAP administration much better now.

[@isaacduckworth2639]

Hey great video! I am in EMT currently but in our class we are taught some more contra indications such as hypotension so be warned.

[@h3684]

Excellent videos my friend. You really are talented in teaching/mentoring. Videos with tonnes of information.. Made so simple and easy to understand in a short video aswell. Cannot go wrong!

[@TheParamedicCoach]

Hey, thanks for the kind words here about my teaching and my brand. Thank you! Keep at it, if you haven't yet grab my prep course there is even more inside there; www.prepareforems.com Be Great! Evan, The Paramedic Coach

[@rosettascott1803]

Very helpful. Thank you. I would like if you do visual demonstrations of the product. Also, please make sure people understand this CPAP is different than the one someone may use for sleep apnea.

[@TheParamedicCoach]

That is right on the money! Thanks for watching Rosetta

[@mattlowry731]

Another awesome video from the paramedic coach! 🤘🏽🤘🏽👊🏽👊🏽💪🏽💪🏽 #LETSGO

[@TheParamedicCoach]

#LETSGO! Welcome back to the channel my friend, thanks for the shoutout!

[@nicholasclumpner3681]

Yes! I’ve been waiting for this one

[@TheParamedicCoach]

Thanks for tuning in my brother!

[@monicajohner7346]

Someone should inform the people that make the text book for AEMT class the you don’t use on Pneumo’s. Cause books states you can use with caution.

[@Catsaresilly-v5c]

Watched this twice ,very informative. Thanks!

[@jessecarine6544]

In our local protocol hypotension is a contraindication.Which don't make since to me because I agree with what you said about it

[@jp-ex2vi]

So I have a question. If asthma patients have difficulty exhaling wouldn't CPAP further complicate the "passive" exhalation process?

[@rabiaahmed3877]

Thank you so much for this. It helped so much!

[@TheParamedicCoach]

Hey Rabia, welcome to the channel! Happy this one got you on track. Be Great! Evan,The Paramedic Coach

[@KosherMoney]

Hypotension is a contraindication to CPAP in NY.

[@ak-kbm5535]

Thank you man ❤️🚑

[@theeccentricadam]

SO... Asthma. Asthma patients have a hard time exhaling, it seems that CPAP could make this worse because of the positive pressure? So, if exhalation is already difficult (lungs can only hold so much air) it seems there may be a contraindication with CPAP, unless the positive pressure that opens the bronchus also helps to facilitate that expiration in conjunction with Epi and Albuterol... Just forward thinking from a prospective medic.

[@Riiotking]

I’m confused. I’m here thinking when someone is in respiratory distress and speaking 2-3 word sentences you would use a non rebreather. Sooo my questions is, if I suspect anyone with asthma, copd, chf to give them CPAP rather than non rebreather?

[@TheParamedicCoach]

Non-rebreather mask may be a first-line treatment, but CPAP is more definitive treatment. CPAP, is used on critical respiratory patients, for example acute CHF like you mentioned and can be used for acute asthma and COPD flair ups.

[@nickc2789]

Non rebreather is the most common

[@seandivarco6179]

Great education

[@zacharylamb1586]

So i may have missed it but would you use this before the bvm in some cases?

[@TheParamedicCoach]

Yes, but remember with CPAP they need to be able to manage their own airway and be alert and able to find commands. That is much different than your BVM patient who's probably not very alert with no airway control.

[@limiyahlone8704]

Omg thank you so much! You don’t realize how much you’re helping me right now🥲🥲🥲

[@TheParamedicCoach]

Hey thanks for the shoutout! Happy you are enjoying the channel! Be Great! Evan, The Paramedic Coach

[@pacuarerio]

Excellent!!

[@TheParamedicCoach]

Many thanks!

[@geovannyacosta5992]

question, so why give PEEP of 5cmH20 if its known we usually walk around with 5 and if indicated for CPAP why start off at what we normally have in our lungs? I understand see local protocols but why start at 5?

[@TheParamedicCoach]

Hey Geovanny, it's a tip to gain patient compliance with the device and get comfortable with the mask on once they're comfortable with the flow, then of course by all means do your standard 10cmH20, it's a quick tip if someone is very anxious. Thanks for watching!

[@xbox360noob]

Cpap is my first choice before rsi

[@TheParamedicCoach]

Love it T Mac, thanks for tuning in!

[@craigmelchiano72]

Thank you. does a cpap always have to have a PEEP device attached?

[@MrSchmi269]

Can you swing by Burlington, Wisconsin and be a guest instructor for my night class? :D

[@stanrolling395]

SBP under 90 you shouldn't either right?

[@brandonparker119]

I know this is late, but many states and local protocols will not let BLS providers use CPAP with

[@Iaff94]

Anything fire related ???

[@JoseGonzalez-ry2su]

#nremt bound !!!

[@joshstrenk1877]

What about flail chest?

[@michellecrux]

#nremt #emt #paramedic

[@swgpstephen]

Let’s get it!!!!

[@TheParamedicCoach]

Let's do this!

[@StarWarslightspeed]

#AEMT

[@StarWarslightspeed]

#FEMA